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MTX counselling - checklist (Medicine counselling (Folate (Reduce SEs,…
MTX counselling - checklist
Checks
Pt info leaflet + monitoring book
Liver FX + blood tests
Name + address/DOB
Medicine counselling
Missed dose
Next day or day after
Otherwise miss dose
Long term med
Once weekly
Different to folate
Same day
Folate
Reduce SEs
Appearance like MTX
Once weekly
Reduce inflammation
Up to 12 weeks for effect
Monitoring
Blood tests
1-2 weeks - until stable
2-3 moths
Other info
Serious SEs
Mouth ulcer, sore throat/mouth
Yellowing of eyes
Persistent NVD
Unexplained bruising/bleeding
Complications
Pregnancy
Chickenpox/shingles
General SEs
Hear thinning
NVD
Advice
Get flu vaccines - avoid live vaccines
Alcohol
Inform HCP about MTX